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It's truly disappointing to hear that your experience with porcelain veneers has not met your expectations, especially with such an important event like your wedding approaching. Veneers should enhance your smile and feel natural, not cause discomfort or dissatisfaction. Given the issues you’ve described — gaps, poor gum aesthetics, and a bulky appearance — it would be wise to consider replacing them.

In Miami, where you have access to numerous specialized cosmetic dental clinics, it’s crucial to seek out a provider with a strong track record in porcelain veneer placement. Look for a clinic that not only has extensive experience but also positive patient reviews, particularly concerning the aesthetics and comfort of their veneers. Before proceeding with such a significant investment, consult with a few well-regarded cosmetic dentists to discuss your concerns and see their previous work. This step will help ensure you achieve the beautiful, natural-looking results you desire for your wedding.

6 years ago I had my 4 front teeth shaped with composite. I loved the result but after 6 years it was discoloured and chipped. My wedding is coming up so i decided to update my smile with porcelan on my top 10 teeth. The process was terrible, i waited 3 months for my final veneers (had my temps), which was painful. Now 4 months since placing the veneers I hate the results. There are gaps between my teeth, gums don't look the best. All looks bulky and fake. Would you recommend replacing?

Would I benefit from having my porcelain veneers replaced? (photos)

It's certainly unsettling to experience a veneer de-bonding, especially after an accidental impact like a sneeze. The immediate step is to visit your dentist to assess the damage and determine if the veneer can be re-bonded or if a new one is needed. Veneers generally have a robust attachment, but sudden impacts can compromise their bond.

Considering you've had two sets of veneers with the first set lasting six years and the second set currently in use for two years, it sounds like they've generally been successful. One veneer de-bonding doesn't necessarily mean that your other veneers will fail, but it's a good idea to discuss with your dentist any preventative measures you can take to minimize further incidents, such as wearing a protective mouthguard during activities that might put your teeth at risk. Also, have your dentist check the integrity of your other veneers during your visit to ensure they are all secure.

Hi guys, I just got these veneers that I have now two years ago. This is my second set. My first set I had for 6 years. Yesterday I sneezed and hit my top front tooth with my bottom tooth and heard a little crack. Went to check and my entire veneer de bonded. Now I’m scared my teeth will all start to fail and Debond. What should I do?

Veneer debonded after I sneezed

If you're replacing an implant on your right front tooth and have a crown next to it, adding veneers to the top left teeth could indeed help create a more balanced and symmetrical appearance for your smile. Veneers are a great option for cosmetic improvements as they can adjust the color, shape, and alignment of your teeth with minimal invasiveness.

It’s understandable that dental procedures can be stressful, but addressing each tooth individually to ensure overall harmony can significantly enhance both the aesthetics and functionality of your smile. It's a good idea to discuss this plan thoroughly with your dentist, who can provide a mock-up or digital simulation of how the veneers would look. This way, you can visualize the end result and feel more confident in your decision.

I have an implant on my right front tooth and a crown on the next one. I am in the process of replacing the implant and I am considering putting veneers on the two top left tooth to improve my smile. Do you think it is a good idea? It is very stressful for me.

Do you think it is a good idea for me to get veneers on my top left teeth? (Photo)

With severe bone loss in your upper front jaw, the feasibility of implants depends on the remaining bone density. You might need bone grafting to support implants in that specific area. If the bone loss is too significant, a full denture implant might be more effective. This solution uses multiple implants to support a denture, providing stability and preserving jawbone health. Consulting with a specialist is crucial to evaluate your specific needs and choose the best restoration method.








I have severe bone loss in my front upper jaw, Is it possible to get implants just in that area or I it best if I just get a full denture implant?

Is it possible to get implants in an area of my jaw with severe bone loss?

Raising the vertical dimension of your bite, especially after aligner treatment, requires careful consideration to ensure occlusal harmony and functional efficiency. At 38, if your anterior occlusion does not align well with your jaw size, adjusting the vertical dimension could indeed help improve both aesthetics and function.

Crowns can be an effective solution to modify the vertical dimension of occlusion by building up the height of the teeth. When it comes to choosing a type of crown, you have several options depending on your specific needs for conservation and durability. Porcelain crowns are popular for their aesthetic appeal and good functional durability, matching the natural color of your teeth while providing the necessary strength for everyday use. If tooth conservation is a priority, consider minimally invasive options like onlays or 3/4 crowns, which cover less of the tooth but can still alter the height and shape effectively.

Consulting with a prosthodontist or a dentist experienced in occlusal adjustments is crucial. They can assess your specific situation through detailed imaging and tests to recommend the best type of crown or alternative treatments that would suit your dental structure and functional requirements

I have concerns pertaining to raising my bite in the vertical dimension. I am 38 years old and my recent aligner treatment has helped with better alignment. I think the anterior part of the occlusion does not meet my relatively larger jaw. Is a crown an effective solution for better vertical dimension occlusion to raise the bite? What crowns are best that conserve the tooth and also durable if crowns are an option?

Age 38, can a crown help with raising my bite? (Photos)

Given the repeated issues with your crown and temporary replacements, it seems the approach to repeatedly glue the crown wasn't a long-term solution. The consistent failures suggest that the tooth may no longer have the structural integrity needed for another crown.

At this stage, considering a dental implant might be the best option. An implant would replace the entire tooth structure from the root up, providing a durable and stable solution that doesn’t depend on the remaining natural tooth. It’s important to discuss this with your dentist to assess the health of your gums and bone for a potential implant.

My original crown cracked in the back and broke off and the dentist kept glueing it back on. Eventually he replaced it with a temp. The post and temp broke off in July. Were his actions appropriate? Crown or implant now?

Crown or implant now after original one cracked & broke off & dentist kept gluing it back on? (Photo)

As a dentist with extensive experience in Miami, I understand your concerns about your crown and the option of an implant. Given that the molar now resembles a "volcano" with limited tooth structure, an implant is a prudent recommendation due to its durability and the complexity of using a bridge next to another crowned tooth.

However, if you are considering reusing the crown with a new post and buildup, it's technically possible if there's sufficient healthy enamel and the root structure is sound. Yet, given your history of grinding, there's a risk of damaging the new restoration. A thorough examination, including X-rays, would be necessary to make an informed decision.

Molar with root canal, buildup/post, crown. Crown was not sealed good to tooth, coffee and bacteria got inside and crown came off pulling out buildup/post. The molar now looks like a volcano with rim of tooth enamel above the gum line (see 2 pics). Dentist did not want to do a bridge, due to molar in front having a crown, so planed for an implant. Tooth is fine otherwise with no infection. Had grinding in past, so worried could break an implant. Can crown be put back on with new post/buildup?

Putting crown back on molar with new buildup and post? (Photo)

Resin crowns are not necessarily obvious. The visual appearance of resin crowns can vary significantly depending on the quality of the material and the dentist's skill. Generally, they can be made to closely match the color and shape of a patient's natural teeth, making them less noticeable. However, they are not as aesthetically perfect as porcelain crowns, which offer a more natural and translucent look. Resin crowns tend to be a more economical option and may be suitable for teeth that are not in highly visible areas, such as the back teeth.

Given my teeth (see photo please), will I be disappointed with resin crowns? Will it look obvious that they're not my original teeth? Should I invest the $2600 (which is a lot for me) to get the porcelain crowns?

Are resin crowns obvious? (Photo)

As a specialist in cosmetic dentistry, I recommend considering veneers because they can be customized to improve the length and overall appearance of your teeth, ensuring they are visible during conversation. Porcelain veneers also offer a natural look and feel, making them a top choice for enhancing dental aesthetics. It's important to choose a skilled cosmetic dentist to ensure the best outcome. Make sure to discuss all your expectations and review their previous work to ensure their expertise aligns with your needs.

I can provide pictures but my teeth are basically 1.5mm long, my problem is they also don’t show when I talk so I just look like I have no teeth. I have money and a car looking for someone who is a professional and won’t mess me up.

So I was wondering if porcelain veneers or crowns can reshape my teeth into longer, bigger, whiter (Photo)

It's common to question the appearance of new veneers, especially if they seem too large. Discussing the size and shape, particularly the rounding of the distal edges of teeth 8 and 9, during your follow-up could indeed help achieve a more satisfying result. Sometimes, slight adjustments like these can significantly enhance how the veneers integrate with your smile. Your dentist can provide a professional opinion and make the necessary modifications to make sure you’re happy with the outcome.

I justs had 7,8,9,10 seated and am wondering if they appear too big for my smile? I've been staring at them for too long and need a second opinion. I'm going for follow up this Thursday so is there any suggestion on embrasure adjustment? I wondered if 8 and 9 were rounded at the distal edge if that's what would make me happier with the result. Is it just me? So you think a little rounding would make it better?

Do my veneers look right to you? (photos)

Helen Carmenate, DDS

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Highly &amp; Strongly recommended. Don’t miss out on the best opportunity of getting your perfect smile!  They are the best of the best.. “Miami Perfect Smile” is just that and they stand on that!!!  They gave me my Prefect DREAM Smile!! 
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